Palliative care services at cancer centres — room for improvement

Palliative care services at cancer centres — room for improvement

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Evidence of quality of life improvements in patients with advanced-stage cancer has spurred a move towards early integration of palliative care into the outpatient setting. As discussed herein, meaningful and sustained improvements in timely access to palliative care requires commitments to funding, encouraging integration and routinizing referral across care settings. More palliative medicine training positions as well as broader education of clinicians and the public about the benefits of palliative care throughout the disease course are also needed. Access through your institution Buy or subscribe This is a preview of subscription content, access via your institution ACCESS OPTIONS Access through your institution Access Nature and 54 other Nature Portfolio journals Get Nature+, our best-value online-access subscription $32.99 / 30 days cancel any time Learn more Subscribe to this journal Receive 12 print issues and online access $209.00 per year only $17.42 per issue Learn more Buy this article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support REFERENCES * Zimmermann, C. et al. Early palliative care for patients with advanced cancer: a cluster-randomised controlled trial. _Lancet_ 383, 1721–1730 (2014). Article  Google Scholar  * Kaasa, S. et al. Integration of oncology and palliative care: a Lancet Oncology Commission. _Lancet Oncol._ 19, e588–e653 (2018). Article  Google Scholar  * Ferrell, B. R., Temel, J. S., Temin, S. & Smith, T. J. Integration of palliative care into standard oncology care: ASCO clinical practice guideline update summary. _J. Oncol. Pract._ 13, 119–121 (2017). Article  Google Scholar  * Hui, D. et al. State of palliative care services at US cancer centers: an updated national survey. _Cancer_ 126, 2013–2023 (2020). Article  Google Scholar  * Hui, D. et al. Availability and integration of palliative care at US cancer centers. _JAMA_ 303, 1054–1061 (2010). Article  CAS  Google Scholar  * Zimmermann, C. et al. Team-based outpatient early palliative care: a complex cancer intervention. _BMJ Support. Palliat. Care_ https://doi.org/10.1136/bmjspcare-2019-001903 (2019). * Wentlandt, K. et al. Referral practices of oncologists to specialized palliative care. _J. Clin. Oncol._ 30, 4380–4386 (2012). Article  Google Scholar  * Zimmermann, C. et al. Phase 2 trial of symptom screening with targeted early palliative care (STEP) for patients with advanced cancer. _J. Clin. Oncol._ 37 (suppl. 15), 11604 (2019). Article  Google Scholar  * May, P. et al. Prospective cohort study of hospital palliative care teams for inpatients with advanced cancer: earlier consultation is associated with larger cost-saving effect. _J. Clin. Oncol._ 33, 2745 (2015). Article  Google Scholar  * Aldridge, M. D. et al. National hospice survey results: for-profit status, community engagement, and service. _JAMA Intern. Med._ 174, 500–506 (2014). Article  Google Scholar  Download references ACKNOWLEDGEMENTS The work of C.Z. is supported by the Canadian Institutes for Health Research (grant number 152996) and by the Rose Chair in Palliative Medicine and Supportive Care, Department of Medicine, University of Toronto. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada Jean Mathews & Camilla Zimmermann * Division of Palliative Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada Jean Mathews & Camilla Zimmermann * Division of Medical Oncology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada Camilla Zimmermann Authors * Jean Mathews View author publications You can also search for this author inPubMed Google Scholar * Camilla Zimmermann View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Camilla Zimmermann. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing interests. ADDITIONAL INFORMATION RELATED LINKS CANCER FACTS & FIGS. 2020: https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/cancer-facts-figures-2020.html OPTIMAL RESOURCES FOR CANCER CARE — 2020 STANDARDS: https://www.facs.org/-/media/files/quality-programs/cancer/coc/optimal_resources_for_cancer_care_2020_standards.ashx RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Mathews, J., Zimmermann, C. Palliative care services at cancer centres — room for improvement. _Nat Rev Clin Oncol_ 17, 339–340 (2020). https://doi.org/10.1038/s41571-020-0374-2 Download citation * Published: 30 April 2020 * Issue Date: June 2020 * DOI: https://doi.org/10.1038/s41571-020-0374-2 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative

Evidence of quality of life improvements in patients with advanced-stage cancer has spurred a move towards early integration of palliative care into the outpatient setting. As discussed


herein, meaningful and sustained improvements in timely access to palliative care requires commitments to funding, encouraging integration and routinizing referral across care settings. More


palliative medicine training positions as well as broader education of clinicians and the public about the benefits of palliative care throughout the disease course are also needed. Access


through your institution Buy or subscribe This is a preview of subscription content, access via your institution ACCESS OPTIONS Access through your institution Access Nature and 54 other


Nature Portfolio journals Get Nature+, our best-value online-access subscription $32.99 / 30 days cancel any time Learn more Subscribe to this journal Receive 12 print issues and online


access $209.00 per year only $17.42 per issue Learn more Buy this article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices may be subject to local taxes which


are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support REFERENCES * Zimmermann, C. et al.


Early palliative care for patients with advanced cancer: a cluster-randomised controlled trial. _Lancet_ 383, 1721–1730 (2014). Article  Google Scholar  * Kaasa, S. et al. Integration of


oncology and palliative care: a Lancet Oncology Commission. _Lancet Oncol._ 19, e588–e653 (2018). Article  Google Scholar  * Ferrell, B. R., Temel, J. S., Temin, S. & Smith, T. J.


Integration of palliative care into standard oncology care: ASCO clinical practice guideline update summary. _J. Oncol. Pract._ 13, 119–121 (2017). Article  Google Scholar  * Hui, D. et al.


State of palliative care services at US cancer centers: an updated national survey. _Cancer_ 126, 2013–2023 (2020). Article  Google Scholar  * Hui, D. et al. Availability and integration of


palliative care at US cancer centers. _JAMA_ 303, 1054–1061 (2010). Article  CAS  Google Scholar  * Zimmermann, C. et al. Team-based outpatient early palliative care: a complex cancer


intervention. _BMJ Support. Palliat. Care_ https://doi.org/10.1136/bmjspcare-2019-001903 (2019). * Wentlandt, K. et al. Referral practices of oncologists to specialized palliative care. _J.


Clin. Oncol._ 30, 4380–4386 (2012). Article  Google Scholar  * Zimmermann, C. et al. Phase 2 trial of symptom screening with targeted early palliative care (STEP) for patients with advanced


cancer. _J. Clin. Oncol._ 37 (suppl. 15), 11604 (2019). Article  Google Scholar  * May, P. et al. Prospective cohort study of hospital palliative care teams for inpatients with advanced


cancer: earlier consultation is associated with larger cost-saving effect. _J. Clin. Oncol._ 33, 2745 (2015). Article  Google Scholar  * Aldridge, M. D. et al. National hospice survey


results: for-profit status, community engagement, and service. _JAMA Intern. Med._ 174, 500–506 (2014). Article  Google Scholar  Download references ACKNOWLEDGEMENTS The work of C.Z. is


supported by the Canadian Institutes for Health Research (grant number 152996) and by the Rose Chair in Palliative Medicine and Supportive Care, Department of Medicine, University of


Toronto. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada Jean Mathews & 


Camilla Zimmermann * Division of Palliative Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada Jean Mathews & Camilla Zimmermann * Division of Medical


Oncology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada Camilla Zimmermann Authors * Jean Mathews View author publications You can also search for this author


inPubMed Google Scholar * Camilla Zimmermann View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Camilla Zimmermann.


ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing interests. ADDITIONAL INFORMATION RELATED LINKS CANCER FACTS & FIGS. 2020:


https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/cancer-facts-figures-2020.html OPTIMAL RESOURCES FOR CANCER CARE — 2020 STANDARDS:


https://www.facs.org/-/media/files/quality-programs/cancer/coc/optimal_resources_for_cancer_care_2020_standards.ashx RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE


THIS ARTICLE Mathews, J., Zimmermann, C. Palliative care services at cancer centres — room for improvement. _Nat Rev Clin Oncol_ 17, 339–340 (2020). https://doi.org/10.1038/s41571-020-0374-2


Download citation * Published: 30 April 2020 * Issue Date: June 2020 * DOI: https://doi.org/10.1038/s41571-020-0374-2 SHARE THIS ARTICLE Anyone you share the following link with will be


able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing


initiative